Translating Evidence-Based Care in a State Waiver Program to Reduce TransitionsGerontological Society of America (2014)
Disability reflects a gap between an individual’s abilities and the environment in which they function, and is the primary modifiable factor in preventing institutionalization. We report on a pilot study testing dissemination and implementation of a proven intervention, intervening directly on pain, medication management, strength and balance, depression and the home environment, in the State of Michigan waiver program to reduce re-institutionalization. We are enrolling 20 clients who were hospitalized or nursing home within the past 14-days, and providing the intervention plus usual waiver services. We will compare those 20 to a match (age, race, gender) cohort from 2012 who were in the hospital or nursing home and received usual waiver service. Our key outcome of interest is re-institutionalization (hospital or nursing home). Our hypothesis is that low-income disabled older adults who receive the intervention plus usual care will manifest fewer readmissions. Enrollment is ongoing. Findings will be presented.
Publication DateFall 2014
Citation InformationSandra Spoelstra. "Translating Evidence-Based Care in a State Waiver Program to Reduce Transitions" Gerontological Society of America (2014)
Available at: http://works.bepress.com/sandra-spoelstra/14/